go back

Minnesota rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.80 / $1,000.80 / $1,000.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.11 / $1,065.99 / $1,499.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,509.28 / $5,316.58 / $9,143.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.69 / $3,101.81 / $3,943.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,474.14 / $3,510.44 / $8,444.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.66 / $2,952.83 / $4,385.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,249.21 / $3,209.39 / $6,649.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.24 / $2,640.03 / $4,021.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.39 / $1,702.00 / $2,890.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.09 / $1,921.56 / $4,265.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.09 / $1,772.76 / $4,057.90